Abstract:
BACKGROUND:The weight of the delivered placenta gives a useful representation of placental function in utero. In the absence of Irish data, many pathologists rely on data from other populations, many of which are now 15 to 30 years old. The development of a population-specific nomogram would aid in the examination of placentas after delivery, allowing pathologists and medical scientists to more easily distinguish between placental physiological changes and pathology. AIMS:To record placental weights among women having a singleton delivery in Dublin and to establish median placental weights for each gestational age after 37 weeks. METHODS:Prospective cohort study in a Tertiary level University Hospital. All singleton pregnancies were included; stillbirths, multiple gestations, and cases with obstetric complications involving the placenta were excluded. The placentas were weighed both untrimmed and trimmed with standard scales. Demographic features including birth weight and maternal parity were also recorded. RESULTS:Four hundred thirty placentas were weighed over a 6-week period. A median term placental weight based on gestational age was established, with a range from the tenth to ninetieth centiles. CONCLUSION:The weight of the placenta is one of several measurements that are easy to acquire, and when recorded in a systematic fashion, provide information not just on an individual, but also on a population basis. Birth weights have increased over the last century, and this study provides national data helping distinction between placental physiology and pathology.
journal_name
Ir J Med Scijournal_title
Irish journal of medical scienceauthors
O'Brien O,Higgins MF,Mooney EEdoi
10.1007/s11845-019-02102-8subject
Has Abstractpub_date
2020-05-01 00:00:00pages
581-583issue
2eissn
0021-1265issn
1863-4362pii
10.1007/s11845-019-02102-8journal_volume
189pub_type
杂志文章abstract:BACKGROUND:The introduction of treat and referral by ambulance practitioners is under active consideration in Ireland. The Irish ambulance services have traditionally transported all patients following an emergency (112/999) call to an emergency department. The introduction of treat and referral will present a signific...
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